Active NPI
Carol G Busby
- Family Nurse Practitioner
- Woodstock, GA
National Provider Identifier
1497020465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN138310
- Practice address
- 7545 Main St
Woodstock, GA 30188-1615 - Phone
- (770) 928-0133
- Fax
- (770) 928-1663
- NPI assigned
- Mar 9, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN138310 | GA | MD | Family Nurse Practitioner |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN138310 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
7545 Main St
Woodstock, GA 30188-1615
Mailing address
7545 Main St
Woodstock, GA 30188-1615
Phone (770) 928-0133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 9, 2012.
{
"created_epoch": "1331251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331251200000",
"number": "1497020465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7545 MAIN ST",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301881615",
"telephone_number": "770-928-0133",
"fax_number": "770-928-1663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7545 MAIN ST",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301881615",
"telephone_number": "770-928-0133",
"fax_number": "770-928-1663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSBY",
"first_name": "CAROL",
"middle_name": "G",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-09",
"last_updated": "2012-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN138310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.